Southpark Surgery Center LLC

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $422

• Bronchoscopy

  SSP PU000

  up to

  $3,972

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,730

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,860

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,790

• Colonoscopy

  SSP GA002

  up to

  $2,206

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,719

• CT

  SSP RA001

  up to

  $1,066

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $752

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,065

• Fetal MRI

  SSP RA006

  up to

  $687

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,235

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,087

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $3,281

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $8,910

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,061

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $4,216

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $4,192

• MRI with Contrast

  SSP RA007

  up to

  $837

• MRI without Contrast

  SSP RA005

  up to

  $909

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,277

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $7,778

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $2,047

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,178

• Ultrasound

  SSP RA008

  up to

  $534

• X-Ray

  SSP RA000

  up to

  $223